Provider Demographics
NPI:1528597697
Name:DEAF INDEPENDENT LIVING ASSOCIATION, INC.
Entity Type:Organization
Organization Name:DEAF INDEPENDENT LIVING ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:O
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-742-5052
Mailing Address - Street 1:806 SNOW HILL RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1938
Mailing Address - Country:US
Mailing Address - Phone:410-742-5052
Mailing Address - Fax:410-543-4874
Practice Address - Street 1:806 SNOW HILL RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1938
Practice Address - Country:US
Practice Address - Phone:410-742-5052
Practice Address - Fax:410-543-4874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities